Anesthetic Management for Liver Segmentectomy and Thrombectomy of Inferior Vena Cava and Right Atrium without Cardiopulmonary Bypass : A case report

ABSTRACT

The tumor thrombus of hepatocellular carcinoma extending into the right atrium (RA) via the inferior vena cava (IVC) may cause fatal complications such as heart failure and pulmonary embolism. Surgery for removal of thrombus in the RA usually needs aid of cardiopulmonary bypass (CPB). We report a case of successful anesthetic management for simultaneous liver segmentectomy and IVC and RA thrombectomy without CPB.